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PLUMBING
Size Septic Tank.._. Feet of Drain Tile Nature of Water Supply: City —Well. STATE OF FLORIDA, l ODUNTY OF DADE. Before me, the undersigned authority, a notary plabl6c, NOTE: A meinspection fee el OLG will he materials and /oat ( tUMmo INSPECTION DEPARTMENT QPPdOCIall !rN9 (OQ Pill/PAWN PERMI T a..e� Permit No.. .._..._ -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oe other structure herein described. This application is made in oomplianoe and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approv - .i plans and specifications must be kept at building during progress of work. Owner's Name and Address Gar Thomas No 1256 S aute NE 92nd Registered Architect end/ce Engineer ©° G a Lloyd Septic Tank Service Employing Flumbefs Neese — ..- -- p7 Subdivlslon.—______-- streot_ —9.2i i.. S t state evork to be performedl and purpose of building (By Fiaaao)___Ims.ta.1.1. 125 . New Building- -____— ---- -_•_ -• •• -•• - -. Remodeling —__ _ ._ —___ Addition.. -- _ —..—. Repairs. No. of Stories. %vacation and Legal Description Lot_ Bloat Street and Numb a where or is to be performed —No 1256 •� Typo of Tank 125 s q , ft. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. �..., NO,..a....C...00.•=..111PCI., i.1.1711.11.2.::.... ..,... .._ ✓ 6 Amount of Permit £} 6 (S ) 6 1 117 r9! 06.2 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent Supplement, and Isms com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such saab-cantr actor 6,, on work to be performed under this permit, es are licensed by Miami Shores Villages. to me well known, and who, being by me first duly scams, upon oath deposes and goys that he is the .__._.._..._.__..._. - - - -•. - - •_ -. —• _.. of the above described construct a, t1aat has cantfealle red e t -'' foregoing application, and he sign the saate, and that all facts therein by him stated are true. administer oaths and take acknowledgments, personally appeared 1 {y Connnniaaln 1Z Idotm Pub lie, State ei Florida Muter Plumber. whee eseh reieleepestioe M tsra b r action Inv inspection. es finality GLOOa TO BATH TUDO aND41QRD LAVA. TOnio 1:51M° 1:51M° GLOP 3, o LAUNDRY TUGS URINALa CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NG TOTAL RIATURRS Gown. Lvov CHUCK 6¢PTIO — TANK DM= CONN. DRAIN PIIILD BOA RAOL PIT GR¢AOa TRAP GIOLAR PI QATII61 DRM waLL BIRKLR. SYSTEM Swet1'0 POOL Copan. LIDT CN¢CR Size Septic Tank.._. Feet of Drain Tile Nature of Water Supply: City —Well. STATE OF FLORIDA, l ODUNTY OF DADE. Before me, the undersigned authority, a notary plabl6c, NOTE: A meinspection fee el OLG will he materials and /oat ( tUMmo INSPECTION DEPARTMENT QPPdOCIall !rN9 (OQ Pill/PAWN PERMI T a..e� Permit No.. .._..._ -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oe other structure herein described. This application is made in oomplianoe and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approv - .i plans and specifications must be kept at building during progress of work. Owner's Name and Address Gar Thomas No 1256 S aute NE 92nd Registered Architect end/ce Engineer ©° G a Lloyd Septic Tank Service Employing Flumbefs Neese — ..- -- p7 Subdivlslon.—______-- streot_ —9.2i i.. S t state evork to be performedl and purpose of building (By Fiaaao)___Ims.ta.1.1. 125 . New Building- -____— ---- -_•_ -• •• -•• - -. Remodeling —__ _ ._ —___ Addition.. -- _ —..—. Repairs. No. of Stories. %vacation and Legal Description Lot_ Bloat Street and Numb a where or is to be performed —No 1256 •� Typo of Tank 125 s q , ft. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. �..., NO,..a....C...00.•=..111PCI., i.1.1711.11.2.::.... ..,... .._ ✓ 6 Amount of Permit £} 6 (S ) 6 1 117 r9! 06.2 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent Supplement, and Isms com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such saab-cantr actor 6,, on work to be performed under this permit, es are licensed by Miami Shores Villages. to me well known, and who, being by me first duly scams, upon oath deposes and goys that he is the .__._.._..._.__..._. - - - -•. - - •_ -. —• _.. of the above described construct a, t1aat has cantfealle red e t -'' foregoing application, and he sign the saate, and that all facts therein by him stated are true. administer oaths and take acknowledgments, personally appeared 1 {y Connnniaaln 1Z Idotm Pub lie, State ei Florida Muter Plumber. whee eseh reieleepestioe M tsra b r action Inv inspection. es finality Permit No Vet_ Application is hereby ma for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wo Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name,__ �,�a _ J __ :_ No.. — _ Street_. — Location and Legal Description Block_ Subdivision Street and Number where work is to be performed —No 2 6 greet State work to be performed and purpose of building (By Floors) ----------------- ____ -- New Building __ —__ ___ Remodeling_ __ _ ______ Addition_________ Repairs No. of Stories. Amount of Permit $__ STATE OF FLORIDA, es. COUNTY OF DADE. IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ?t'vt4 ��:�� 1 - — _ -_ -_ No. Street Size Septic Tank �40 - - -- - Type of Tank Feet of Drain Tile__ L_ ; Mist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well .______ _ _ ___ Size of Soakage Pit Capacity Gals (Signed)- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)._ Date - 3 ° Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.0O will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials or workmanship. CLO8ET8 BATH TUBS SHOWERS LAVA- TORIES INK SINKS SLOP SINKB LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL COHTR. LIST CHECK Permit No Vet_ Application is hereby ma for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wo Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name,__ �,�a _ J __ :_ No.. — _ Street_. — Location and Legal Description Block_ Subdivision Street and Number where work is to be performed —No 2 6 greet State work to be performed and purpose of building (By Floors) ----------------- ____ -- New Building __ —__ ___ Remodeling_ __ _ ______ Addition_________ Repairs No. of Stories. Amount of Permit $__ STATE OF FLORIDA, es. COUNTY OF DADE. IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ?t'vt4 ��:�� 1 - — _ -_ -_ No. Street Size Septic Tank �40 - - -- - Type of Tank Feet of Drain Tile__ L_ ; Mist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well .______ _ _ ___ Size of Soakage Pit Capacity Gals (Signed)- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)._ Date - 3 ° Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.0O will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials or workmanship. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Ins Permit No. Name � Address ) j It Fjq Compan Phone # For Inspector: Approved \ Correction Re- Insp'n Fee j Y_3 Type Insp' Permit No. Nam MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date j :�� Time Address Compa Phone # For Inspector ate Approved Correction Re- Insp'n Fee D k C.G. <,t\ Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • 305-795-2204 Job Address / Z.54 12 ` ��d Tax Folio FEES: PERMIT RADON APPROVED: Zoning Building Mechanical Plumbing Legal Description /0 � Historically Designated: Yes No Owner /Lessee/Tenet ft A A Yb C �, Master Permit # P L • &ooc)- �j f 1 CI 3 Owner's Address 1 2 6 I C'. 1 Phone acr 5 `7 d Contracting Co. Mk. C P 1 k, J D J I, Address i e d g 7_ ,A/ t, J • °` ° - e Qualifier S 6 • ded6t . SS# !'/ ' Phone g State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER I ► _ PECTION. Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: ) ' K i f / 4 C - 2 , - 4 BP Notary as to Owner and/ • My Commission Expires Square Ft. v ' ' Estimated Cost (value) 1 00 • 06_, WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, 1 authorize the above named contractor to do the work ated. gnature of o er an . or Condo President Date Signatu€ of Contractor or Owner Builder Date or Condo Preside t Date s�� ' ® (C C.C.F ( V (i' NOTARY ' v BOND 3 MECHANICAL ROOFING Notary as to Contractor or Owner Builder Date My Commission Expires TOTAL DUE 0 Electrical Structural Engineer Scale: Each block represents 10 feet and 1 inch = 40 feet. Notes: go lv I Site Plan sub rAttt>sc�i6y: Plan App DH 4015, 10/96 (Replaces HRS -H Form 4015 which may be used) (Stock Number: 5744 -002 - 4015 -6) STATE OF FLORIDA PART II - SITEPLAN I 3 (cm t ok Not Approved - 7 V- _/ ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DEPARTMENT OF HEALTH APISLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number / J_ Date 7 / /D2. By County H alth Department Page 2 of 4 STATE dF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: /!'/.G. �DAA j.=+ / a Ce/ AGENT: id" / j J ��L - `' l / U+� . r te LOT: / 3 BLOCK: SUBDIVISION: ;5 1 $` O' PROPERTY ID #: // e 3 2j)s °-027 as . 60 [Section /Township /Range /Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [ ] YES [ ] NO NET USABLE AREA AVAILABLE: O. .2 / � ACRES J TOTAL ESTIMATED SEWAGE FLOW: - GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER - TABLE - "2] AUTHORIZED SEWAGE FLOW: 5 7 GALLONS PER DAY [1500 GPD /ACRE OR 25 0 GPD /ACRE] UNOBSTRUCTED AREA AVAILABLE: 5. SQFT UNOBSTRUCTED AREA REQUIRED: 6Q'?) SQFT •70 / /1 4 pit, ELEVATION OF PROPOSED SYSTEM SITE IS 1'a d [INCHESr/,d] [ABOVE-/' QA BENCHMARK /REFERENCE POINT BENCHMARK /REFERENCE POINT LOCATION: THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE - FOLLOWING FEATURES: SURFACE WATER: /404P FT DITCHES /SWALES: /0 FT NORMALLY WET? [ ] YES ,(4 WELLS: PUBLIC: 4% FT LIMITED USE: r .)!A FT R VATE: "" FT NON - POTABLE: __,P, FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: FT POTABLE WATER LINES: 7 75-- FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [L E NO 10 YEAR FLOODING? [ ] YES M N0 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL /NGVD SITE ELEVATION: •G2 FT MSL /NGVD I r SOIL PROFILE INFORMATION SITE 1!''' . , SOIL PROFILE INFORMATION SITE 2 Munsell Color Texture 2 01-11 4 USDA SOIL SERIES: Depth to to 7 " to to / to t� t to to PERMIT # Depth to Munsell # /Color Texture U f •l ,d 1 <- G o7) to to USDA SOIL SERIES: 1 47(4(4 !AVIJ to to to to to OBSERVED WATER TABLE: / INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE: (PERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: t3 7- y N�I CHES)[ ABOVE% BELLcW ] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES [V) NO MOTTLING-:- YES [g'] NO DEPTH: INCHES SOIL TEXTURE /LOADING:RATE FOR SYSTEM SIZING:/ SITE EVALUATED BY: DH 4015, 10/96 (Replaces HRS -H Form 4015 [Page 3) which may be used) (Stock Number: 5744- 003 - 4015 -1) / '8 DEPTH OF EXCAVATION: a3 I DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL. CRITERIA: DATE: i // • Page 3 of 3 LOT: 13 BLOCK: 3 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT APPLICANT: Masucci, Donato CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ [ X ]Repair [ ]Abandonment EP ri 1 PROPERTY STREET ADDRESS: 1256 NE 92 St Miami FL 33138 AGENT: SR0931119, COCKING MSTEPHEN SUBDIVISION: Bay Lure ]Holding Tank [ ] Innovative Other ]Temporary [ NA ] [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 3205 - 027 -0500 (OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ A [ N K [ 900 ]Gallons SEPTIC TANK 0 ]Gallons 0 ]GALLONS GREASE INTERCEPTOR CAPACITY 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS D ( 300 ]SQUARE R [ 0 ]SQUARE A TYPE SYSTEM: I CONFIGURATION: N F I E L D FEET PRIMARY DRAINFIELD SYSTEM FEET SYSTEM [y - ] STANDARD [ N J FILLED [ I N ]TRENCH [ y ]BED LOCATION TO BENCHMARK: Top of Bottom Floor, 7.70' NGVD. ELEVATION OF PROPOSED SYSTEM SITE [ 1.1 ] [ FEET BOTTOM OF DRAINFIELD TO BE [ 3.0 ] [ FEET FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: OTHER REMARKS: This permit is not for addition(s). *Existing 900 gl. septic tank to remain. *Install 300 sq.ft. of drainfield. *Invert elevation to be no less than 5.20' NGVD. *Bottom elevation to be no less than 4.70' NGVD. THE SEPTIC TAU SIIALL BE PUMPED AND A SOLID DEFLECTION DEVICE INSTALLED ON THE OUTLET TEE SPECIFICATIONS BY: Icaza, Carlos APPROVED BY: Icaza, Carlos DATE ISSUED: 7/10/02 (Stock Number: 5744- 001 - 4016 - 0) [ostds_cons_4016 -11 TITLE: DH 4016, 03/97 (Obsoletes previous editions w ich may not be used) TITLE: Engineer I CENTRAX #: 13 -SG -13445 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 02-2054- -R MULTI- CHAMBERED /IN SERIES: [Y ] MULTI - CHAMBERED /IN SERIES: [Y ] @ [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] [ N ]MOUND [ N ] [ N ] ] [ BELOW BENCHMARK /REFERENCE POINT ] [ BELOW BENCHMARK /REFERENCE POINT [ 23.0 ] INCHES INSTALL - OF LOAMY COARSE SAND UNDER aoTrDrt7 OF OFIAINFIELD TFlls PEr]MIT IS NOT FOA ADDMOR S) INVERT --) BOTTOM: OF ORAII ;FIELD ELEVATION A, 0' N c... AT P �.. IM 'TER F EX ,VATS P ARE SHALL PE .G •'ET TER i'► %: 1 .4; a CEO OA DRA! Dade cNC E EXPIRATION DATE: 10/8/02 CHD Page 1 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/18/2002 r Applicant: DONATO Owner: MASUCCI JOB ADDRESS: 1256 NE 92 3 0 Qo P ermit Status: Approved Permit Expiration: Work: TO REPLACE DRAINFIELD PAY TO THE ORDER OF Contractor MR C'S SEPTIC TANK Local Phone: 305 - 651 -7859 Parcel # 1132050270500 Fees: Description FEE2002 -3970 CCF FEE2002 -3971 Buildier's Bond FEE2002 -3972 Building Fee FEE2002 -3973 Notary Fee Total Fees: Amount $1.80 $300.00 $80.00 $5.00 $386.80 Total Fees: $386.80 Total Receipts; $386.80 MR. C'S SEPTIC & DRAIN, INC. OPERATING ACCOUNT P.O. BOX 693239 305- 651 -7859 MIAMI, FL 33269 -0239 Q - J/0,&0 (/// Washington Mutual Washington Mutual Bank, FA Miami/199th Street Financial Center 1719 175 NW. 199th Street 1.800.788.7000 Miami, FL 33169 24 hour Customer Service Plumbing Permit Permit Number: PL2002 -183 1/14/2003 MASUCCI DONATO ST Contractor's Address: P 0 BOX 693239 Legal Description: BAY LURE PB 44 - 63 LOT 13 Construction Value: $2,400.00 If there is no permit packac,e accessible nn the inh -ci +o fnr _ ._ .. .. . DATE 11'0055881 I :267084 L 3 Li: 38 31110 3 4 2 111011' 5588 63- 8413/2670 1$7'73- DOLLARS W Page 1 of 1 BLK 3 LOT SIZE 75.000 X 125 OR e- inspection ation herefor in strict compliance with all cations that may have been submitted to or if the plans are changed without msibility for a thorough knowledge of the at he assumes responsibility for work done s pertaining thereto and in strict conformity sponisibility for all work done by either ELECTRICAL TYPE Minimum Fee Oi'Y. 'nil: Dryer QTY'. TITS Outlet, Appliance QTY. 1 - ) pi.: Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New 1'IECHANICAL TYPE QTY. Minimum Fee TVPE QTY. Condensate Drain TYPE Generator QTY. TYPE Q'fY. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING .1.yp E A/C Condensate QTY TYPE Drains, Roof QTY ' ypE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ IMPACT FEE (New Construction) $ SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION CIII:CKLIST 0 HRS / DERM APPROVAL (Septic / Sewer) Cl OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) ( sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) ❑ CONDO ASSOCIATION APPROVAL (Attach) Cl BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PER I1'1' FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. Signature of Owner Print Name Sworn to and subscribed before me this gnature of SEAL: Personally known OF FLORID , COUNTY OF MIAMI -DADS STATE OF FLORIDA, COUNT IAMI DADS Signature of ontractor / Qualifier day of " OFFICIAL NOTARY SEAL " P(4, ANGELA M BECKER T 14` , coL:.`..tsuu.d vt': _'a 0 �} e, t . its' O� - — F F - OR;Prdduced Identification Type of Identification Produced: SEAL: Personally known l'/h41 `Th tide-, e Print Name woe_ to and subscribed before me this day of Signature of No j, Public - State of Florida CHERYL A. FELDER MY COMMISSION # DD 025939 EXPIRES: June 22, 2005 4 0F Bonded Thru Budget Notary Services OR, Produced Identification V CLOt T S Type of Identification Produced: PERMIT APPLICATION (t& W CONTRACTOR Name v X `a , J � / Name , =i' //x .' • A 6 6114/ r of■� License No. p g p a o9 / 9 Business Telephone Address ihes4 A. /99 1 r Telephonefrp Fax ep ke Fax Qualifier Name " / // 09.42 7.7 veol / PROPERTY OWNER Name v X `a , J Address 4 t)f t e' i (71„pAN , Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must he taken to obtain a permit from the Miami Shores Village: Step I. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PM, I CATION Job Address: 1 S'6IU. £. P- SVC . Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. City PERMIT APPLICATION -ica z )3 g State Zip Folio Number Description of Workyy<; / ?Q�l9C... 1 7) &JL2''J '7 Lot Block �\ � — t4)0 tie..✓ kea i h _ x-,r Subdivision PEI PG Zoning Linear Feet Current Use of Property Square Feet Units Proposed Use of Property Value of Work 7) n �N Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Floors ENGINEER Name License No. Address Telephone Fax Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /24/2002 Applicant: DONATO Owner: MASUCCI JOB ADDRESS: 1256 NE 92 Contractor FELIX FERA PLUMBING Local Phone: Parcel # 1132050270500 Legal Description: BAY LURE t / O O u Total Fees: $)70.0 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 4/20/2003 MASUCCI DONATO ST Contractor's Address: Work: RELOCATE WASHER & DRYER ADN SWITCHES FRO HEATER Plumbing Permit Permit Number: PL2002 -284 Construction Value: PB 44 -63 LOT 13 $500.00 Page 1 of 1 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. DATE 364 63- 6431670 BRANCH 00686 RENEE V. MASUCCI DONATO R. MASUCCI 1256 N.E. 92nd St. Miami Shores, FL 33138 PAYTOTHE ,,//� �` ORDER OF /'�(�CP/ A-1 d . F FOR First Union National Bank ® flrstunton.com Org. 003 R/T 067006432 1:06 70064 3 21: 10 9000 2000 6 /911' 0364 I $ 20 °APJ * *J /WiD � ��- DOLLARS NP BLK 3 LOT SIZE 75.000 X 125 OR the equipment or device described in the application herefor in strict compliance with all with any plans, drawings, statements or specifications that may have been submitted to is not done in compliance with such ordinances or if the plans are changed without rctor or builder named above assumes the responsibility for a thorough knowledge of the ings or in the statements or specifications and that he assumes responsibility for work done n compliance with all ordinances and regulations pertaining thereto and in strict conformity • es Village. In accepting this permit I assume responisibility for all work done by either BY: BY: LIST — �(�^_""_ - ■ 7 Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - f - ASQfit_ / ---- _--_____ _ No._._ Registered Architect and /or Engineer —..—__. __.— ____ �___�—w.___.----- _ —____ Employing Plumber's Name_ No.._ Location and Legal Description Lot.___- .— ______ _ ______ Block_ Street and Number where work is to be performed—No.. ___ ______ E ._--.__ -- Street 9 _. 2.- 5 State work to be performed and purpose of building (By Floors)_ ____________ New Building ___. Remodeling Addition__ Size Septic Tank_ Feet of Drain Tile__ Nature of Water Supply: C STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ _ ig? . - - - - -- Signed)_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank _Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work be performed under this permit, as are licensed by Miami Shores Village. /7_ J' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Date Street. Street__ - Subdivision .- -- ---- --- - - -. -_ Repairs_ No. of Stories. Capacity Gals to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- , >y. fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or p. CLOSET& T BATH L SHOWERS T LAVA- S SINKS S SLOP L LAUNDRY C URINALS B CATCH F FLOOR D DRINKING W WO T TOTAL CONTR. . B B / / 3 3 CHECK ~ ~ . .. - LL /� - -- SEPTIC S SEWER D DRAIN S SOAKAGE G GREASE - - D DEEP S SPRKLR. S SWIM•G k u / CONTR. / CHECK / Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - f - ASQfit_ / ---- _--_____ _ No._._ Registered Architect and /or Engineer —..—__. __.— ____ �___�—w.___.----- _ —____ Employing Plumber's Name_ No.._ Location and Legal Description Lot.___- .— ______ _ ______ Block_ Street and Number where work is to be performed—No.. ___ ______ E ._--.__ -- Street 9 _. 2.- 5 State work to be performed and purpose of building (By Floors)_ ____________ New Building ___. Remodeling Addition__ Size Septic Tank_ Feet of Drain Tile__ Nature of Water Supply: C STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ _ ig? . - - - - -- Signed)_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank _Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work be performed under this permit, as are licensed by Miami Shores Village. /7_ J' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Date Street. Street__ - Subdivision .- -- ---- --- - - -. -_ Repairs_ No. of Stories. Capacity Gals to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- , >y. fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or p. � �,